Job Description

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

The Senior Clinical Quality Specialist will require in-depth knowledge of current CMS core measures and the electronic clinical quality measures (eCQMs); will lead the planning, reviewing and controlling of all activities and functions of clinical transformation, providing ongoing managerial leadership to facilitate the capture of all quality documentation in the Electronic Health Record (EHR); and collaborate with MHHS facility clinical and administrative leaders in developing, and implementing processes designed to assist clinical staff in achieving optimization and full adoption of the eCQM electronic health record (EHR) modules. In order to perform this job, the role requires an ability to clearly communicate how quality measures apply to the clinical staff’s workflow and lead the changes required to capture the required documentation in the EHR; and translate process and workflow decisions into educational materials, leveraging change management and adult learning principles. This position will be assigned to specific facilities based on region and will require moderate travel between facilities and corporate offices when needed. This position will work closely with other Quality Patient Safety and Infection Control staff to develop a standardized approach to development of a system-wide approach for current and future electronic clinical quality measures.

Job Description

Desired Skills

• eCQM and clinical quality measure knowledge
• Epic/EHR data and workflow experience
• Advanced Excel and data analysis
• Performance improvement and gap analysis
• Strong stakeholder communication and influence
• Data storytelling and PowerPoint presentation skills
• Strategic planning and problem-solving
• Ability to work independently and navigate change

Minimum Qualifications

Education: Bachelor degree in Nursing (BSN) or equivalent health care related Bachelors degree required

Licenses/Certifications:

• Advanced certification in Clinical Informatics or Healthcare Quality Certification (CPHQ) required or must obtain within twelve (12) months of employment
• American Credentialing Center for Nursing Informatics preferred

Experience / Knowledge / Skills:

• Minimum of five (5) years in acute hospital setting, including three (3) years of direct contact with clinician computer entry preferred
• Minimum of two (2) years preferred in clinical performance improvement or other quality management program with knowledge of clinical quality measures requirements compliance and leading practices preferred
• Previous experience in applied systems development preferred
• Working knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups
• Knowledge of principles and processes for providing customer service.
• This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
• Knowledge of media production, communication, and dissemination techniques and methods
• Working knowledge of robust process improvement techniques
• Ability to use Microsoft Office programs and specialized educational development software
• Ability to analyze large, complex data sets to determine areas lacking in performance and to drive robust performance improvement activities
• Superior written and verbal communication skills
• Ability to effectively work with all levels of the organization

Principal Accountabilities

• Drives the designing, building and testing of electronic health record (EHR) components that support the capture and reporting of all current and future electronic clinical quality measures.
• Proactively identifies and/or validates opportunities for eCQM education.
• Serves as resource person in area of all regulatory and inpatient quality measure reporting.
• Evaluates performance of eCQM education course participants (physician and nursing staff) according to identified criteria.
• Collaborates physicians, nurses, and other professionals to identify problems, find and implement solutions, and communicate the findings to the Quality Patient Safety and Infection Control leadership.
• Works to promote adoption and create sustainability of the EHR quality components through multi-disciplinary teams and create an infrastructure for reporting quality information.
• Drives change management activities related to adoption of the EHR and changes in clinical workflow
• Leads development of training manuals, multimedia visual aids, and other educational materials related to clinical quality measures.
• Provides instruction according to defined course outline, utilizing principles of education appropriate to needs of the target population. Identifies follow-up needs of participants and facilitates meeting those needs.
• Maintains up to date clinical and technical knowledge in clinical quality measures and core measure criteria and compliance requirements.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.